Paul Hampton Kennemore III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4108 Issued in SC

Practice address

121 River St
Belton, SC 29627-1416

Phone

(864) 338-8521

Fax

(864) 338-9367

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Genetics, Inc.

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1346959970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063596146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIVER ST",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296271416",
            "telephone_number": "864-338-8521",
            "fax_number": "864-338-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RIVER ST",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296271416",
            "telephone_number": "864-338-8521",
            "fax_number": "864-338-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEMORE",
        "first_name": "PAUL",
        "middle_name": "HAMPTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarod R Haggard (Palmetto Family Chiropractic)
• Charsley Denise Johnson, PA
• Misty Ashley Johnson, RPH
• Candace Jones, NP
• Tabitha Kay
• Jeanette C. Kinsey, M.D.
• Lisa Sigler Liddle, D.C.
• Lisa Sigler Liddle (Belton Chiropractic)
• Rebecca May Lowe
• Suzanne Lowe

• General Practice Dentistry in Belton, SC
• Providers in Belton, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.